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Found 19108 cases where Vaccine is PNC13

Case Details (Reverse Sorted by Appearance Date)

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VAERS ID:645468 (history)  Vaccinated:2016-04-21
Age:  Onset:2016-04-21, Days after vaccination: 0
Gender:Male  Submitted:2016-07-29, Days after onset: 99
Location:Foreign  Entered:2016-07-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: DKSA2016SA110461
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPIPV: DTP + IPV (NO BRAND NAME)UNKNOWN MANUFACTURER 2UNUN
HIBV: HIB (ACTHIB)SANOFI PASTEUR 2UNUN
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNUN
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETH 2UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abasia, Arthralgia, Cough, Cyanosis, Eye inflammation, Febrile convulsion, Immediate post-injection reaction, Injection site pain, Injection site swelling, Joint swelling, Malaise, Muscle spasms, Nasopharyngitis, Otitis media, Pseudocroup, Pyrexia, Urticaria, Varicella
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Dystonia (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Corneal disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Based on additional information received on 19 July 2016, this case initially considered as non-serious was upgraded to serious: Hospitalization criteria. Initial unsolicited case received from SPMSD under the reference number- 2016006106. Case received from a consumer/other non health professional via Health Authority on 08-Jun-2016 under reference number DK-DKMA-ADR 23509742. A male child patient of unknown age received Ditekipol, (batch number unknown, Dose 3) on an unknown date. Other suspect products included: measles, mumps and rubella virus vaccine, live (manufacturer unknown, batch number unknown, Dose 1) on an unknown date, PREVENAR 13, (batch number unknown, Dose 3) on an unknown date, -Act-Hib, (batch number unknown, Dose 3) on an unknown date. The patient experienced High fever, his leg and knee was very swollen and painful so that he could not walk for three days and Fever cramps on an unknown date. The patient''s outcome was reported as Unknown. The reporter assessed the causal relationship: between Pyrexia and Act-HIB as Possible, between Knee swelling and Act-HIB as Possible, between Leg pain and Act-HIB as Possible, between Swelling of legs and Act-HIB as Possible, between Febrile seizure and Act-HIB as Possible. Regulatory authority narrative: "Case received from a consumer. A child male developed pyrexia, knee swelling, leg pain, swelling of legs and febrile seizure on an unknown date, after vaccination site DTaP-IPV/Act-Hib (batch no.: Unknown). He received unknown dose of the vaccine by unknown route on an unknown date. He also received unknown dose of co-suspected PREVENAR 13 (batch no.: Unknown) by unknown route on the same date as DTaP-IPV/Act-Hib. He also received unknown dose of co-suspected MFR vaccine (measles, mumps, rubella) (batch no.: Unknown) by unknown route on the same date as DTaP-IPV/Act-Hib. His mother reported that he immediately after he was vaccinated with DTaP-IPV/Act-Hib 3 and PCV 3 and MFR 1 simultaneously became very ill. Among other his leg and knee was raised very much and painful that he could not walk for 3 days and he had high fever with febrile seizure. At the time reporting, the outcome was unknown." Follow-up received from the patients mother via HA on 19-Jul-2016: Narrative from regulatory authority: "A child male developed pyrexia and urticaria on 26-Apr-2016, knee swelling, leg pain, cold, pseudocroup, chickenpox and cough on an unknown date, swelling of legs on 21-Apr-2016, febrile seizure and otitis media on 27-Apr-2016, eye inflammation on 23-Apr-2016, after vaccination site DTaP-IPV/Act-Hib (batch no.: Unknown). He received unknown dose of the vaccine by unknown route on 21-Apr-2016 (inappropriate schedule of vaccine administered). He also received unknown dose of co-suspected PREVENAR (pneumococcal vaccine) (batch no.: Unknown) by unknown route on the same date as DTaP-IPV/Act-Hib. He also received unknown dose of co-suspected MFR vaccine (measles, mumps, rubella) (batch no.: Unknown) by unknown route on the same date as DTaP-IPV/Act-Hib. He was also vaccinated with DiTeKiPol-Hib and PREVENAR in May-2015 and Aug-2015. His mother reported that he immediately after he was vaccinated with DiTeKiPol-Hib 3 and PCV 3 and MFR 1 simultaneously became very ill. Among other his leg and knee was raised very much and painful that he could not walk for 3 days and he had high fever with febrile seizure. Immediately after he was vaccinated and his leg was swelled, he was treated on the Hospital on 22-Apr-2016 - it lasted for 4 days. On 23-Apr-2016 he developed eye inflammation and he was seen by his GP on 25-Apr-2016. The next day - 26-Apr-2016 - he woke up with urticaria on the whole body which came and went the next four days. The same day he developed high fever (39.5). On 27-Apr-2016 he woke with high fever and had a febrile seizure and became blue. He was treated on the Hospital, where they found that he had otitis media. The same day he had another febrile seizure. His mother

VAERS ID:645147 (history)  Vaccinated:2016-07-19
Age:74.0  Onset:2016-07-25, Days after vaccination: 6
Gender:Unknown  Submitted:0000-00-00
Location:North Carolina  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LUMIGAN; ELIQUIS; carvedilol; citalopram; Vits, Supplements
Current Illness:
Preexisting Conditions: Hypertension; A-fib
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM564160IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Local reaction, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Local reaction-redness, swelling.

VAERS ID:645155 (history)  Vaccinated:2016-06-24
Age:0.2  Onset:2016-07-08, Days after vaccination: 14
Gender:Male  Submitted:2016-07-28, Days after onset: 20
Location:Georgia  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: There are no active problems to display for this patient.
Diagnostic Lab Data: Abdominal x-ray and ultrasound; urinalysis and urine culture; blood gas; chem 14; CBC c platelets and diff
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALSB2435 IM 
HIBV: HIB (ACTHIB)SANOFI PASTEURUI407AAB IM 
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM50991 IM 
RV1: ROTAVIRUS (ROTARIX)GLAXOSMITHKLINE BIOLOGICALSA41CB534A PO 
Administered by: Unknown     Purchased by: Public
Symptoms: Abdominal X-ray, Abdominal mass, Blood gases, Culture urine, Decreased appetite, Differential white blood cell count, Full blood count, Hyporesponsive to stimuli, Laboratory test, Lethargy, Platelet count, Ultrasound abdomen abnormal, Urine analysis, Urine output decreased
SMQs:, Acute renal failure (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Decreased appetite; lethargy; decreased responsiveness; decreased urine output; LUQ mass. Abdominal US done showing abnormal gas pattern concerning for intussusception. Pt transferred for further evaluation and treatment.

VAERS ID:645157 (history)  Vaccinated:2015-09-01
Age:0.2  Onset:2015-09-01, Days after vaccination: 0
Gender:Male  Submitted:2016-07-28, Days after onset: 331
Location:Maryland  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: elevated liver enzymes
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL)SANOFI PASTEURC4814AA0IMRL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.L0144171IMLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL620750IMLL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.L0085780PO 
Administered by: Private     Purchased by: Private
Symptoms: Heart rate increased, Hepatic enzyme increased, Hypopnoea, Oxygen saturation decreased, Skin discolouration, Staring, Vomiting projectile
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 5 hours after 2 month vaccinations, patient projectile vomited, turned a grey-blue color, shallow breathing, staring, rapid heart rate, low oxygen level.

VAERS ID:645199 (history)  Vaccinated:2016-07-22
Age:82.0  Onset:0000-00-00
Gender:Female  Submitted:2016-07-28
Location:Georgia  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM73332 IMAR
Administered by: Other     Purchased by: Unknown
Symptoms: Injection site pruritus
SMQs:
Write-up: Patient said she is having itching at the injection site. I advised patient to notify her Dr. right away and to go to emergency room for evaluation.

VAERS ID:645245 (history)  Vaccinated:2016-07-26
Age:0.4  Onset:2016-07-26, Days after vaccination: 0
Gender:Female  Submitted:2016-07-27, Days after onset: 1
Location:Montana  Entered:2016-07-28, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALSFY7FK1IMLL
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.M0067091IMRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM947071IMRL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.L0488541PO 
Administered by: Public     Purchased by: Public
Symptoms: Body temperature increased, Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Started same day as immunizations temp 100.1, puking, diarrhea, pt had same symptoms with last shots on 5/24/16.

VAERS ID:645247 (history)  Vaccinated:2016-07-26
Age:83.0  Onset:2016-07-26, Days after vaccination: 0
Gender:Female  Submitted:2016-07-27, Days after onset: 1
Location:Florida  Entered:2016-07-28, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Beta blockers; NSAIDS; sulfa; asthma; CKD; allergic rhinitis; depression
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM947080UNLA
Administered by: Private     Purchased by: Unknown
Symptoms: Pyrexia, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Pt. reported fever 100 degrees and sleepiness x 1 day. Inj. site was not tender or red.

VAERS ID:645280 (history)  Vaccinated:2016-07-26
Age:68.0  Onset:2016-07-27, Days after vaccination: 1
Gender:Male  Submitted:2016-07-28, Days after onset: 1
Location:Hawaii  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETH    
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Joint swelling, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Wrist and thumb pain and swelling, began 1 day after vaccine administered in ipsilateral extremity.

VAERS ID:645289 (history)  Vaccinated:2016-07-26
Age:84.0  Onset:2016-07-27, Days after vaccination: 1
Gender:Female  Submitted:2016-07-28, Days after onset: 1
Location:North Carolina  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None known
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM51194 IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema, Induration, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Red, hard, swollen area.

VAERS ID:645293 (history)  Vaccinated:2016-07-28
Age:0.6  Onset:0000-00-00
Gender:Female  Submitted:2016-07-28
Location:Utah  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Rash
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS5X2751IMRL
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.M0104401IMLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM947082IMLL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.M0196901PO 
Administered by: Military     Purchased by: Military
Symptoms: Injection site pruritus, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt''s guardian called us and notified her child had a fever of 102.6 after receiving 4 month shots yesterday. Her daughter was also scratched a bit at the site.

VAERS ID:645308 (history)  Vaccinated:2016-07-14
Age:0.3  Onset:2016-07-22, Days after vaccination: 8
Gender:Female  Submitted:2016-07-28, Days after onset: 6
Location:Indiana  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: NKDA; GER; Eczema
Diagnostic Lab Data: Abdominal ultrasound, positive for intussusception
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS974JA1IMLL
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.M0018131IMRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM773381IMRL
RV1: ROTAVIRUS (ROTARIX)GLAXOSMITHKLINE BIOLOGICALSA41CB562A1PO 
Administered by: Private     Purchased by: Public
Symptoms: Enema administration, Intussusception, Irritability, Somnolence, Ultrasound abdomen abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Hypoglycaemia (broad)
Write-up: Intussusception diagnosed after presenting to ED with vomiting / alternating sleepiness and fussiness. Treated with air contrast enema.

VAERS ID:645343 (history)  Vaccinated:2016-07-19
Age:67.0  Onset:2016-07-22, Days after vaccination: 3
Gender:Male  Submitted:2016-07-28, Days after onset: 6
Location:Iowa  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Patient was seeing provider for routine check up
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM793211UNRA
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Applied hydrocortisone cream and 3 days later area was clear. Urticaria pruritus and red, warm swollen at injection site four inches in diameter. Hydrocortisone apply TID.

VAERS ID:645352 (history)  Vaccinated:2016-06-15
Age:66.0  Onset:2016-06-15, Days after vaccination: 0
Gender:Male  Submitted:2016-07-28, Days after onset: 43
Location:Kentucky  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PRINIVIL
Current Illness: Blood pressure management
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1607USA008411
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETH  IMRA
Administered by: Other     Purchased by: Other
Symptoms: Wrong drug administered
SMQs:, Medication errors (narrow)
Write-up: This spontaneous report as received from a Medical Assistant via Pfizer refers to a 66 year old male patient. The pertinent medical history was not provided. The patient''s concurrent conditions included blood pressure management. On 15-JUN-2016 the patient was vaccinated with PREVNAR 13 0.5 ml, intramuscularly in the right deltoid muscle, instead of PNEUMOVAX 23. Concomitant therapies included lisinopril (manufacturer unknown) and unspecified multivitamins. Additional information has been requested.

VAERS ID:645442 (history)  Vaccinated:2016-07-27
Age:80.0  Onset:0000-00-00
Gender:Female  Submitted:2016-07-28
Location:Maryland  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM609930SCUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Patient noticed a circular rash (1 1/2 - 2 inches in diameter) at injection site. Redness and slight warm to touch. Patient advised to try BENADRYL, ice to site, and follow up with Dr. next day if no improvement. No swelling.

VAERS ID:645449 (history)  Vaccinated:2016-07-26
Age:52.0  Onset:2016-07-27, Days after vaccination: 1
Gender:Female  Submitted:2016-07-28, Days after onset: 1
Location:Pennsylvania  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM130670IMLA
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.M0184530SCRA
Administered by: Other     Purchased by: Public
Symptoms: Chest pain, Injection site erythema, Injection site swelling, Injection site vesicles, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: Approximately 24 hrs. after receiving vaccination ZOSTAVAX, pt. developed blisters, reddened, swollen skin around the injection site. Area was swollen "like a bee sting" but not itchy or sore. Pt. also said she developed chest pain/palpitations during this time as well. The rash seemed to get worse from Wednesday to Thursday when I spoke with her. She called Dr. and was going to see her PCP on Friday.

VAERS ID:645450 (history)  Vaccinated:2016-07-28
Age:1.0  Onset:0000-00-00
Gender:Male  Submitted:2016-07-28
Location:Massachusetts  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.L0154600IDLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.L0252730UNRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM609943UNLL
Administered by: Public     Purchased by: Unknown
Symptoms: Wrong drug administered
SMQs:, Medication errors (narrow)
Write-up: Patient ordered VARICELLA dose # 1 ZOSTAVAX vaccine was administered Lot M017294 NDC 0006-4963-01 Exp 6/28/17.

VAERS ID:645452 (history)  Vaccinated:2016-07-27
Age:1.0  Onset:2016-07-27, Days after vaccination: 0
Gender:Male  Submitted:2016-07-28, Days after onset: 1
Location:Florida  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergy to amoxicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.1015460 IMRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM94707 IMRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.M009766 SCLL
Administered by: Private     Purchased by: Public
Symptoms: Erythema, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Redness; Swollen.

VAERS ID:645455 (history)  Vaccinated:2016-07-27
Age:0.2  Onset:2016-07-27, Days after vaccination: 0
Gender:Female  Submitted:2016-07-28, Days after onset: 1
Location:California  Entered:2016-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALSB24350IMUN
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.L0511220IMUN
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM609940IMUN
RV1: ROTAVIRUS (ROTARIX)GLAXOSMITHKLINE BIOLOGICALSA41FB534A0PO 
Administered by: Private     Purchased by: Public
Symptoms: Gaze palsy, Pyrexia, Tonic posturing
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Ocular motility disorders (narrow), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient received vaccines in the morning. In the evening she developed tactile fever and became tonic $g 10 mn with eyes deviation. Called 911 then went to ER.

VAERS ID:645489 (history)  Vaccinated:0000-00-00
Age:0.3  Onset:0000-00-00
Gender:Male  Submitted:2016-07-25
Location:Foreign  Entered:2016-07-28, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PREVENAR 12, Immunization, First dose
Diagnostic Lab Data: Serology test, Serotype 15A
CDC Split Type: 2016351621
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETH 1SCUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pneumococcal bacteraemia, Streptococcus test positive
SMQs:
Write-up: This is a spontaneous report received from a contactable physician (pediatrician) participating in the meeting of Agency through a Pfizer employee. A 4-month-old male patient of an unspecified ethnicity received two doses of PREVENAR 13, each time subcutaneously, on an unspecified date, at 0.5 ml, single dose. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced bacteraemia (Pneumococcal bacteraemia, serotype 15A) and hospitalization was required from 26Apr2016. This patient prescribe to cefotaxime. Clinical outcome of the event was unknown at time of this report. No follow up attempts possible. No further information expected.

VAERS ID:646063 (history)  Vaccinated:0000-00-00
Age:2.0  Onset:0000-00-00
Gender:Female  Submitted:2016-07-25
Location:Foreign  Entered:2016-07-28, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PREVENAR 13, Immunization, First dose; PREVENAR 13, Immunization, Second dose; PREVENAR 13, Immunization, Third dose
Diagnostic Lab Data: Serology test, Serotype 22F
CDC Split Type: 2016351639
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETH 3SCUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pneumococcal bacteraemia, Streptococcus test positive
SMQs:
Write-up: This is a spontaneous report received from a contactable physician participating in the meeting of Agency through a Pfizer employee from the Marketing Department. A 27-month-old female patient of an unspecified ethnicity received four doses of PREVENAR 13, each time subcutaneously, on an unspecified date, at 0.5 ml, single dose. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced bacteraemia (Pneumococcal bacteraemia, serotype 22F) and hospitalization was required from 04Apr2016. Clinical outcome of the event was unknown at time of this report. No follow up attempts possible. No further information expected.

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